HomeMy WebLinkAboutBLD2010-00338 • •
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
Al Scalf, Building Official
PERMIT #: BLD10-00338
SITE ADDRESS: 702 ADELMA BEACH RD Issue Date: 03/8/2011
PORT TOWNSEND, 98368 Final Date: 9/21/2011
APPLICANT: LAURA C SOUTHMAYD PHONE: 360-385-1387
702 ADELMA BEACH RD
PORT TOWNSEND WA 983689282
SUBDIVISION: Block: Lot: T 29
PARCEL NUMBER: 901051021 Section: 5 Township: 29 N Range: 01 W
PROJECT DESCRIPTION: NSFR TO REPLACE EXISTING SFR
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP: R-3
TYPE OF CONSTRUCTION: 5N
SPRINKLER SYSTEM yes t no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON9/21/2011
I:\F_BLD_Occupancy.rpt 10/29/19
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD10-00338 Received Date: 9/22/2010
SITE ADDRESS: 702 ADELMA BEACH RD Issue Date 3/8/2011
PORT TOWNSEND, 98368 Expiration Date 3/8/2012
OWNER: LAURA C SOUTHMAYD PHONE: 360-385-1387
702 ADELMA BEACH RD
PORT TOWNSEND WA 983689282
SUBDIVISION: Block: Lot: T 29
PARCEL NUMBER: 901051021 Section: 5 Township: 29 N Range: 01 W
CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 379-2730
2757 HOLCOMB ST
PORT TOWNSEND WA 98368
Contractor's License CRANSCC070J7 Expires 4/24/2012
PROJECT DESCRIPTION: NSFR TO REPLACE EXISTING SFR
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 832
VALUATION 68,373.00 ADD'L: HEAT TYPE EEE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY. R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: 320 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $776.75 LYK 09/22/10 120118
Exist: 0 Exist: 0 Plan Check $504.89 LYK 09/22/10 120118
Prop: 2 Prop: 1 State Building Code $4.50 LYK 09/22/10 120118
Total: 2 Total: 1 Total: $1,286.14
Directions to Site:
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455.
Request must be received by 7 am the day the inspection is needed.
Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHEC
0
Jefferson County Building Division Permit Numb BLD10-00338
Applicant: SOUTHMAYD
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks ()_ I k
Erosion Control
Foundation Footing 1)49`"1( letter from Geo. Engineer must be provided prior to footing approval
approving site prep. as per geo ecommeonndation pg. 8 of gco roport.
RTB-� z1- I .. Cc (V?-k- ( lerb
Footing Drains 511 - 1 i Foundation Stem Wall frAo--1 I i21---'
A
Underground Plumbing
Under Floor Framing S _1 ._/
Straps(hold downs) _Ili
Ext. Shear Wall Nailing S1Zs //
Rough-in Plumbing i
Cs —IS — Ic -
Framing ^IS_i1 1.
Blocking
Airseal G,(c—"1
Insulation:Walls
Insulation: Floors / '—I a
rfiNP
Insulation: Ceiling {p--11-1. i.
Int. Shear Wall Nailing
Wallboard Nailing 2l I(( ).`
Gas Line: Interior T 12-0
P-
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage SEE CONDITION #1 (DRY WELL)
Address Posted q . ., I1
, 1
() - ' PnfJ? , c AQo
FINAL INSPECTION I 20 II
LC?r A w In e -cr P,_P6S at w 1,1 NrS t Id c,r
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
i •
CONDITIONS for Building Permit# :BLD10-00338
1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA
ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY
STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA.
FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE
DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY
PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD.
DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH
GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS.
EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS
SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS.
TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM) AND HAVE A
DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER
MATERIAL).
FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK
AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING.
SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET.
2.) SEP10-7 MUST BE FINALED PRIOR TO HOME BLD FINAL
3.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
5.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
• •
6.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
7.) A Geotechnical Report was submitted in conjunction with this application. The report
addressed the stability of the geologic hazard area. A setback of 30-feet shall be
measured perpendicularly from the top or toe of the geologic hazard to the proposed
proposed residence.
8.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN
LETTER FROM THE GEOLOGIST WHO PREPARED THE GEOTECHNICAL REPORT
DATED FEBRUARY 22, 2011 STATING THAT THE STRUCTURE AND/OR FACILITIES
HAVE BEEN CONSTRUCTED IN CONFORMANCE WITH THE REQUIREMENTS OF
THE "GEOTECHNICAL REPORT." THE LETTER SHALL BE STAMPED BY THE
LICENSED GEOLOGIST/ENGINEER.
9.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
10.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
11.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
12.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
13.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs) and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
14.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
15.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington to control stormwater, erosion and sediment during
construction. BMPs shall address permanent measures to stabilize soil exposed during
construction, and in the design and operation of stormwater and drainage control systems.
16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
17.) Not more than 2 unlicensed vehicl•hall be stored on any lot unless totally scrilled
from view of neighboring dwellings and rights-of-way. Such screening shall meet all
applicable performance and development standards specific to the district in which the
storage is kept, and shall be in keeping with the character of the area. Screening shall
meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor
vehicles is prohibited except in those districts where specified as an automobile wrecking
yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter
18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile
wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor
vehicles be stored in a critical area.
18.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
19.) Setback from Adelma Beach Rd. right-of-way is no less than 20 ft., side and rear setbacks
are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more
restrictive setback shall apply.
20.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
21.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
22.) Pre-existing legal lots of record less than one acre in size in rural residential districts are
subject to the stormwater requirements in Chapter 18.30 JCC and must meet the"Area of
Impervious Surface Coverage"to the maximum extent practicable as determined by the
administrator. Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
23.) The building height is not to exceed 35 feet.
24.) The proposal shall comply with the geotechnical report prepared by Aspect Consulting
dated February 22, 2011.
Copy of the geotechnical report is filed in MLA10-00354 located in the Jefferson County
Department of Community Development.
• •
���•SON col JEFFERSON COUNTY
cr44 • ' 1j DEPARTMENT OF COMMUNITY DEVELOPMENT
~' ` 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
kqS 0 www.co.jefferson.wa.us/commdevelopment
8?N0
Master Permit Application MLA: ( C —3nL(
Project Description(i dude separate sheets as necessary):
K S- V ctu,N G,t --
Tax Parcel Number: 90/(57 G2/ Property Size: / 2Ud -'�' 'f'� (acres/square feet)
Site Address and/or Directions to Property:
te f�`
/ ram. r=/de//tr t c, 1 �n ( I, A.) ,-'-;r - 9g: 6
Property Owner(s)of Record: 'Co Cd rA Sc e,. ,< .-n��/`,,,/
Telephone: Fax: email:
Mailing Address: s • I e ofo-,,-e 6 .S
Applicant/Agent(if different from owner): c, ,-
,-e , 13, 5-40/'
Telephone: 5 6 69-. 3[Q/- /?..)`3 Fax:
email:
Mailing Address: 3 7/ R, s„4,n r/ ; /t
/ ' ,/ .'inn `/�•;�*c?i[� ir /•� 'Y��'y' 9 av:7 7
,2:7
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
'®Building 0 Critical Areas Stewardship Plan
k❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use)
iCSingle Family 0 Garage Attached/Detached ❑Conditional Use[C(a), C(d),or IC]"*% 2 L_.
❑ Manufactured Home .0 Modular . - 0 Discretionary"D"or Unnamed Use Classification
❑ Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use ❑ Boundary Line Adjustment
❑ Address ❑Road Approach ❑Short Plat**
0 Home Business 0 Cottage Industry ❑Binding Site Plan**
❑ Propane 0 Long Plat**
❑Sign - 0 Planned Rural Residential Development(PRRD)/Amendments**
0 Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration**
❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
SEF 22 2010
/// DESIGNATION OF AGENT
I hereby designate oce,r , S„D r to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE < Date: cl/C9 /10
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and an required later' i-ctions. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the ap li tion that h> .he wit prior notice.
Signature: Vila r � C��,
Date: / (Cl Ito
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even jlf you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transMr le r spopn . ill for a h rin to and co plying with the ESA. The Applicant has read this disci ime�a d signs and dates it below.
l Signature: v tit� dL. 111L ct 9 I(� toDate:
r_.,,,.. :'r'o.,...\144411F(IRT,fC±H114\TIP n Fr1D TIC\0..�.,...1-1111-,n_-.---\11r-......••_ •. . .• . ,.,,,,,. .
BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE:�y Fax:
,, ) , f e. - /' n S (360): ,/ - /`/w -1 6 ( )
MAILING ADDRESS: 3 7/ s 0,4r j,//jr/i. (-fi ,.,,,, ,r ,yr EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: BTS 1/06 CO 91 Df.,:c NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
/R.'New %Wood Existing: ❑ Sewer
❑ Addition 0 Steel Proposed: J Bank 0 Community System
❑ Alteration/Remodel 0 Concrete Total: % Height: Individual System r-7
❑ Repair 0 Masonry SEP Permit# (0" I
% Demolition 0 Other: Bedrooms: Water Supply:
Existing: G) Setback: ❑ Private well 0 Two Party
T of Heat: Proposed: �_ 1$ Public
YID L Total: .2 Name of System: r fp
If this is a Commercial Project you must answer the following: ^
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food'Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
i igge,rgrOund Tank Above ground Tank Size of Pro amine Tank: .SCE
I Heat Stove i Cook Stove 1 Woodstove i Fireplace Insert (Hot Water TT1) i Pellet Stove 1 Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
h -*16 7,;4exn
S.uare Footage Current Proposed ,��� � h � '�;� r�.,�i� -- •. - ';v��-.��.
Main Floor Heated '_ j4' EH Bld App Review: ,_(3
83 A i� (J
2nd Floor Heated ';f: �`` Consistency Review: A ,3,
,a
Other Heated p' ,, �� .. Base fee: �/]
�` 111 A/ :-i
Mezzanine = "' 7 ' '/.�1}41�1/jl
" °Heated Basementx, ; Plan Check fee
b {
�Q
Unheated Basement State Surcharge fee: zi
SD
. Pot Water Review fee:
Other Unheated 1, tps-r-k�G wub
Garage/Carport SUBTOTAL
W • j, 0
Decks, o � ' 911/Rd Approach fee:
3�o y s 7. } (S,TQ1
Other ' al
� TOTAL: $ F' 1, I
Receipt Number: I l
9 ��� p 1 g
r
Cash/Check Number: � iI
ESTIMATED COST(REQUIRED) (p 3`j3 j . Date: /—.
•Fair market value of all labor and materials foundation to finish ' ��
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